Rural Health
Resources by Topic: Medicaid
Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities (Webinar)
Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to American Indians and Alaska Natives.
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to American Indians and Alaska Natives.
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2021 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 35 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2024
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2021 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 35 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2024
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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2024 New Hampshire Primary Care Sourcebook
Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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